Medical Certificate in France and Doctor's Note in France: What's the Difference?
Unlike some countries that allow a short self-certification window, France has no self-certification period for sickness absence. Any period of illness generally requires an arrêt de travail (work stoppage certificate) issued by a doctor, typically from the first day of absence. For sport, gym, travel, or general purposes (insurance, visa, legal proceedings), a separate certificate type applies: see the full list below. Each certificate type has its own typical audience and format, so matching the right one to your situation matters as much as getting it issued quickly. In everyday English this is often just called a doctor's note for France, even where the official local term differs.
France Legal Snapshot: Sick Leave / Arrêt de Travail
| Local document name | Arrêt de travail, literally a "work stoppage," commonly translated as a "work stoppage certificate" or sick leave certificate. |
|---|---|
| Self-certification period | None. France does not operate a self-certification window of the kind found in some other countries: a doctor's arrêt de travail is generally required from the first day of sickness absence. |
| When a certificate is required | Generally from day one of any sickness absence, however short |
| Who can legally issue it | A licensed physician (médecin), generally after a genuine consultation. Teleconsultation-issued arrêts are typically limited to an initial period of around 3 days when issued as a first-intention teleconsultation (i.e. not with your usual doctor) |
| Submission deadline | The parts of the arrêt de travail generally need to reach CPAM (Caisse Primaire d'Assurance Maladie) and your employer within 48 hours of issue |
| Governing framework | The Code de la Sécurité Sociale provisions on arrêts de travail and indemnités journalières, applied in practice via Assurance Maladie and explained on Service-Public.fr |
| Data protection law | RGPD, the French name for the EU General Data Protection Regulation (GDPR), which applies directly, complemented in France by the Loi Informatique et Libertés |
Note on teleconsultation reimbursement: Since 1 July 2025, arrêts de travail issued through a first-intention teleconsultation, meaning a consultation with a doctor who is not your usual or regular physician, have generally not been reimbursed as indemnités journalières (IJ, the daily sick-pay allowance) by Assurance Maladie. This is a reimbursement-eligibility nuance, not a validity issue: the certificate itself remains a legitimate arrêt de travail either way. Always check current Assurance Maladie rules on IJ eligibility before relying on reimbursement for a specific case.
France's approach differs from many other countries. Employees who fall ill do not get a grace period to self-certify a short absence before any paperwork is needed: the requirement for a doctor's arrêt de travail generally begins on day one, whether the absence turns out to be a single day or several weeks. This makes seeing a doctor early important: without a validly issued arrêt de travail, an absence may not be properly justified to an employer, and it may not be eligible for sick-pay processing through CPAM.
Teleconsultation plays a growing role in how arrêts de travail are issued in France, particularly for common, short-duration illnesses. The rules generally distinguish between a teleconsultation with your usual, regular doctor (médecin traitant) and a first-intention teleconsultation with a doctor you have not consulted before. First-intention teleconsultation certificates are typically limited to an initial period of around 3 days; a longer arrêt, or a renewal beyond that window, generally needs a follow-up assessment, which can itself take place online or in person depending on the platform and the doctor's clinical judgement of your case.
Employers in France are generally entitled to expect an arrêt de travail within a reasonable time, and many internal HR policies or collective bargaining agreements set out their own house rules for notifying a manager, separate from the 48-hour legal window for sending the relevant parts to CPAM and your employer. Treat the 48-hour window as a practical deadline rather than a formality: submitting late can, in some cases, delay sick-pay processing or prompt a reminder from CPAM.
Because an arrêt de travail contains sensitive health data, RGPD principles generally apply to how it is collected, stored, and transmitted, including by any online service involved in producing or delivering the document. In practice, this means your health information should be accessible only to the reviewing doctor and to you, with clear limits on retention and no sharing with employers or third parties beyond what the certificate itself needs to convey.
An arrêt de travail issued by a licensed physician following a genuine consultation is generally treated the same by employers whether it was obtained online or in person, since French rules focus on how the consultation was conducted rather than the channel used to deliver the document. Sources: Assurance Maladie, Service-Public.fr. Last reviewed July 2026: always confirm current rules before relying on them for a specific case.
All Certificate Types Available in France
Every certificate type is reviewed by a doctor registered to assess cases in France. Choose the one that matches your situation.
Sick Leave Certificate (Arrêt de Travail)
For work absence from day one: France has no self-certification period. Structured to help you meet the 48-hour submission window to CPAM and your employer.
From €34.99Sports Fitness Certificate
For French sports club and competition registration, where a certificat médical de non contre-indication (certificate of no medical contraindication) is commonly requested.
From €34.99General Fitness Certificate
For French gym membership and personal training sign-up where a health declaration is requested by the facility.
From €34.99General Medical Certificate
For insurance claims, visa applications, legal proceedings, and other general documentation needs in France.
From €34.99How It Works in France
Complete assessment
3-5 minutes. Select your certificate type, confirm France as your country, and answer relevant health questions about your symptoms, the absence or activity involved, and any relevant medical history. No payment is taken at this stage.
A doctor registered to assess cases in France reviews
Your case is reviewed against French requirements (including, for sick leave, whether a first-intention teleconsultation limit applies), generally during business hours Monday-Friday. The doctor may request more information, such as clarifying symptoms or duration, before deciding.
Receive your PDF
Emailed same day, usually within 30 minutes of approval, carrying the doctor's credentials and a verification reference so employers, clubs, or airlines can confirm authenticity independently.
Who Accepts These Certificates in France
The list below reflects who commonly accepts a validly issued certificate in France. Individual employers, clubs, and institutions can still set their own documentation policy on top of these general rules, so when in doubt, confirm their specific requirements before you submit.
Employers
A validly issued arrêt de travail generally satisfies French absence-justification requirements, provided the 48-hour submission window to CPAM and your employer is respected.
Schools & universities
Accepted for absence justification and, where required, for enrolment or exam-related documentation such as mitigating-circumstances requests.
Sports clubs
A certificat médical de non contre-indication is commonly required for club membership and competition registration in France, particularly for contact or endurance sports.
Airlines
Fit-to-fly certificates accepted by airlines requiring medical clearance for travel departing France after surgery, illness, or during later pregnancy.
CPAM & Assurance Maladie
A validly issued arrêt de travail is generally the document required to process indemnités journalières (sick-pay) claims, subject to current reimbursement eligibility rules.
GetMedicalCertificate in France's Major Cities
Our service is fully online and available across France, wherever you are based. These are the cities we serve the most requests from.
France Pricing: All Certificate Types
| Certificate Type | Our Price | Typical Private In-Person Visit |
|---|---|---|
| Sick Leave Certificate (Arrêt de Travail) | €34.99 | €50-€120 |
| Sports Fitness Certificate | €34.99 | €50-€120 |
| General Fitness Certificate | €34.99 | €50-€120 |
| Fit to Fly Certificate | €34.99 | €50-€120 |
| Return to Work Certificate | €34.99 | €50-€120 |
| General Medical Certificate | €34.99 | €50-€120 |
Every price below includes the doctor's genuine review of your case, your PDF certificate with certificate verification, and same-day delivery by email; there is no separate consultation fee layered on top.
Private in-person doctor visit costs are a typical range reported for France and vary by location, provider, and whether the visit is reimbursed by Assurance Maladie. Online certificates from GetMedicalCertificate are charged as a flat, all-inclusive fee regardless of your own reimbursement eligibility.
GetMedicalCertificate vs Other France Teleconsultation Options
Medadom and Qare are established French teleconsultation platforms that, among other services, can issue an arrêt de travail. Here is how our service typically compares.
| Feature | GetMedicalCertificate | Medadom | Qare |
|---|---|---|---|
| Certificate types offered | All types, one account | Typically arrêt de travail only, via teleconsultation | Typically arrêt de travail only, via teleconsultation |
| Starting price | €39.99 | Usually bundled with a paid consultation, roughly €25-€40 | Usually bundled with a paid consultation, roughly €25-€40 |
| certificate verification | ✓ Included on every certificate | Rarely offered | Rarely offered |
| Teleconsultation IJ reimbursement (since 1 July 2025) | Same market-wide rule applies | Same market-wide rule applies | Same market-wide rule applies |
The 1 July 2025 change to indemnités journalières (IJ) reimbursement for first-intention teleconsultation arrêts de travail applies across the French market generally, not to any single provider. Confirm current Assurance Maladie eligibility rules before relying on reimbursement for your situation.
Both Medadom and Qare are genuine, established teleconsultation services used widely in France, and either can be a reasonable option if you primarily need a single arrêt de travail through an existing care relationship. Our service is built specifically around offering all certificate types in one place, with consistent certificate verification across every certificate type, rather than functioning as a general teleconsultation platform where a sick-leave certificate is one of several possible outcomes of a broader consultation.
Our France Medical Team
Every France certificate is reviewed by a doctor registered to assess cases in France. A clinician will only issue a certificate after assessing your case and if it is clinically appropriate to do so; if not, you receive a full refund. Every consultation is a genuine clinical review, not an automatic or instant form-fill.
Registered practitioners, not a call centre.
Every doctor is independently verified against their national medical council before they see a single patient - including across France.
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Reg. #RPPS 10003115812France Medical Certificate FAQ
Yes. An arrêt de travail can generally be issued following a genuine teleconsultation with a licensed doctor. The consultation involves a real clinical assessment of your situation: it is not simply a form you fill in and submit.
No. Unlike some countries that allow a short self-certification window before a certificate is needed, France has no self-certification period. Any sickness absence generally requires a doctor-issued arrêt de travail from day one.
The parts of your arrêt de travail generally need to reach CPAM and your employer within 48 hours of it being issued. Check your employer's own internal policy as well, since some ask for earlier notice of an absence.
As of 1 July 2025, first-intention teleconsultation certificates, meaning ones issued by a doctor who is not your usual or regular physician, are generally not eligible for indemnités journalières (IJ) reimbursement from Assurance Maladie. This affects reimbursement eligibility only, not whether the certificate itself is valid. Always check current Assurance Maladie rules before relying on reimbursement for your case.
Generally no, provided the arrêt de travail was issued by a licensed doctor following a genuine consultation. French rules focus on how the consultation took place rather than whether it happened online or in person, so a validly issued certificate is generally treated the same either way. If your employer has an internal policy asking for earlier or additional notice of an absence, that is a separate, house-level requirement rather than a reason to reject a validly issued certificate.
Our sick leave / arrêt de travail certificate costs €39.99, which includes the doctor's review, your PDF certificate with certificate verification, and same-day email delivery. This compares to typically €30-€70 for a private in-person consultation in France.
Yes. A certificat médical de non contre-indication, a certificate confirming there is no medical reason preventing participation, is commonly required for club membership and competition registration in France, particularly for more physically demanding or contact sports. Requirements can vary between clubs and federations, so it is worth checking what your specific club or league asks for before you register.
Yes. We comply with RGPD, the French name for the EU General Data Protection Regulation, and with the Loi Informatique et Libertés, France's data protection law that complements it. Your medical information is only seen by the doctor assessing your case and is never shared with third parties.
Yes. In everyday English, "medical certificate" and "doctor's note" describe the same kind of document, and we use both terms for France. Whichever term the person or institution asking for one uses, our certificate is reviewed by a doctor and designed to meet that request.
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Every certificate is issued by a doctor registered with their national medical council, after a real assessment, and carries a reference code that resolves instantly - whether your employer is in Dublin, Berlin or Warsaw.
- ✓Issued only after a genuine clinical review
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- ✓Covers sick leave, fitness-to-work & carer's leave
- ✓Delivered as a signed PDF within the hour

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